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General NPI Number Information
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NPI Number | 1467160846
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Entity Type | Organization
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Legal Business Name | L.I.F.E PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 9025 ALEXANDRA CIRC
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 917-685-6196
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Fax |
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Provider Business Mailing Address
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Address Line | 9025 ALEXANDRA CIRC
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 917-685-6196
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Fax |
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Authorized Official
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Title or Position | PT, DPT, MANAGER/OWNER
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Name | DR. SACHIKO SHINOHARA-LEWIS
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Credential | PT, DPT
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Telephone | 917-685-6196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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